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NPI Code Detail

MEDICARE: DR. ANDREW JASON MYRTUE M.D.

MEDICARE: DR. ANDREW JASON MYRTUE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician24175NE

General Provider Information

NPI Number : 1881686475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JASON MYRTUE M.D.
Provider Business Mailing Address
First Line : 2501 CAPEHART RD
Second Line :
City : OFFUTT AFB
State : NE
Zip : 68113-1043
Country : US
Telephone Number : 402-294-6606
Fax Number :
Provider Business Practice Location Address
First Line : 2501 CAPEHART RD
Second Line :
City : OFFUTT AFB
State : NE
Zip : 68113-1043
Country : US
Telephone Number : 402-294-6606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 11/04/2019

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